Are you suffering from Peyronie’s Disease, also known as penile curvature disease, and looking for ways to treat it? Many men experience this condition,which can cause increasing pain and discomfort during sexual activity.
While there are several treatment options available, surgical interventions have the most effective results when it comes to relieving symptoms associated with penile curvature disease.
If you’re considering getting surgery to alleviate your problem, it’s important to understand what kind of procedure is involved in treating this difficult condition so that you can make an informed decision.
Let’s discuss the various surgical interventions for correcting curve deformity due to Peyronie’sdisease and how they work so you know what to expect.
When is Surgery Recommended for Peyronie’s Disease?
Peyronie’s disease, characterized by a significant curvature of the penis due to fibrous scar tissue (plaque), can cause discomfort and affect sexual function. Surgery is usually recommended in cases where:
- The curvature is severe: A significant bend or curve in the penis can make sexual intercourse difficult or even impossible. If the curvature is severe, and scarring and curvature no longer progress, surgery might be the best option.
- There’s no significant discomfort or pain: Surgery is also recommended if the patient hasn’t had any pain for between six and 12 months.
- Non-surgical treatments aren’t effective:If you’ve tried non-surgical treatments like medications and injections without success, your urologist might suggest surgery as the next step.
Types of Surgical Treatments for Peyronie’s Disease
There are three primary surgical procedures used to treat penile curvature disease: shortening procedures (plication surgery), lengthening procedures (grafting), and penile implants. Let’s discuss each in detail.
Shortening Procedures (Plication Surgery)
Plication surgery is a surgical approach typically used when the curvature of the penis is less severe. This procedure aims to straighten the penis by addressing the longer side rather than directly dealing with the plaque causing the curvature.
What to Expect
During plication surgery, the surgeon makes an incision in the skin of the penis and removes or pinches a piece of the tunica albuginea — the tissue layer that covers the erectile chambers — from the side opposite the plaque. This ‘shortens’ the longer side, helping to straighten the penis.
The surgery is usually performed under general anesthesia, which lasts about 1-2 hours. Postoperatively, you can expect swelling and discomfort, which will subside over time. The main disadvantage of this procedure is a potential loss in penile length.
Lengthening Procedures (Grafting)
Grafting is a surgical procedure generally recommended for more severe or complex curvatures or when there is a substantial loss of penile length.
What to Expect
In a grafting procedure, the surgeon makes an incision in the skin of the penis and either removes or incises the plaque. A patch (or graft) is then sewn into the place where the plaque was removed or incised. This graft material can be sourced from body tissue, a synthetic material, or tissue from a donor.
The procedure is performed under general anesthesia and typically takes 2-3 hours. Postoperatively, similar to plication surgery, you may experience swelling and discomfort. The primary disadvantage of this procedure is the risk of erectile dysfunction, though it does help restore penile length.
Penile Implants
Penile implants are typically recommended for men with Peyronie’s disease who also have erectile dysfunction that has not responded to other treatments.
What to Expect
During this procedure, the surgeon makes an incision in the penis and surgically places devices into both sides of the penis. These devices can be inflatable or semi-rigid rods, depending on the specific type of implant chosen.
This procedure is performed under general anesthesia and usually takes 1-2 hours. After the surgery, you will need to rest and avoid sexual activity for about 4-6 weeks to allow for healing. The primary advantage of this procedure is that it can help straighten the penis and improve erectile function.
Penile Curvature Disease in Phoenix, AZ
Remember, each surgical option for penile curvature disease has its advantages and potential risks. It’s crucial to discuss these with your men’s health expert to make an informed decision that best suits your specific condition and lifestyle.
If you think surgical procedures for penile curvature disease might be right for you, visit our board-certified urologist, Dr. Avila, here at Ironwood Urology for comprehensive evaluation and treatment. Dr. Avila will recommend treatment for Peyronies’s disease based on your specific condition, the severity of your symptoms, and your overall health.
We understand the sensitivity of men’s health issues and ensure that we treat each patient with respect, patience, and confidentiality.
To know more about us or to set up a private consultation with Dr. Desi Avila at Ironwood Urology in Phoenix, call us today at (480) 961-2323 or fill out our online appointment request form. We look forward to serving you!
